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髌股疼痛综合征女性单腿深蹲、跳落和单腿跳跃时 2 维躯干、臀部和膝关节额状面运动学的有效性和可靠性。

Validity and reliability of 2-dimensional trunk, hip, and knee frontal plane kinematics during single-leg squat, drop jump, and single-leg hop in females with patellofemoral pain.

机构信息

School of Exercise and Rehabilitation Sciences, University of Toledo, Toledo, OH, USA.

School of Exercise and Rehabilitation Sciences, University of Toledo, Toledo, OH, USA.

出版信息

Phys Ther Sport. 2020 Sep;45:181-187. doi: 10.1016/j.ptsp.2020.07.006. Epub 2020 Jul 25.

DOI:10.1016/j.ptsp.2020.07.006
PMID:32823213
Abstract

OBJECTIVES

To investigate validity and between-session reliability of frontal plane trunk, hip, and knee kinematics during three functional tasks in females with patellofemoral pain (PFP).

DESIGN

Observational.

SETTING

Research Laboratory.

PARTICIPANTS

20 females with PFP (22.7 ± 3.2 years, 69.9 ± 9.2 kg, 167.7 ± 9.6 cm).

MAIN OUTCOME MEASURES

Trunk, hip, and knee frontal plane peak angles during the single leg squat (SLS), drop vertical jump (DVJ), and single leg hop (SLH) kinematics were evaluated using 2-dimensional (2D) and 3-dimensional (3D) motion capture. Participants returned to the lab one week later and competed a second 2D analysis of the functional tasks. Concurrent validity was assessed by evaluating relationship between 2D and 3D frontal plane kinematics with Pearson correlations. Between-session reliability was assessed by evaluating 2D kinematics with intraclass correlation coefficients by a single assessor.

RESULTS

Moderate to strong correlations (r = 0.55-0.76, p < .05) were found for frontal plane hip kinematics during all three tasks and the trunk during the SLH. Frontal plane kinematics demonstrated good to excellent test-retest reliability for each of the three tasks, (ICC  = 0.70-0.90).

CONCLUSION

2D hip joint angles during the three functional tasks were the only valid frontal plane angles. Trunk, hip, and knee 2D frontal plane kinematics ranged between good-excellent reliability.

摘要

目的

研究髌股疼痛(PFP)女性在三种功能性任务中,矢状面躯干、髋关节和膝关节运动学的有效性和组间可靠性。

设计

观察性研究。

地点

研究实验室。

参与者

20 名患有髌股疼痛的女性(22.7±3.2 岁,69.9±9.2kg,167.7±9.6cm)。

主要观察指标

使用二维(2D)和三维(3D)运动捕捉评估单腿下蹲(SLS)、垂直跳落(DVJ)和单腿跳(SLH)运动中的躯干、髋关节和膝关节矢状面峰值角度。一周后,参与者返回实验室,对功能性任务进行第二次 2D 分析。通过皮尔逊相关评估 2D 和 3D 矢状面运动学之间的关系来评估同时效度。通过一位评估者的组内相关系数评估 2D 运动学的组间可靠性。

结果

在所有三项任务中,髋关节矢状面运动学和 SLH 期间的躯干矢状面运动学都存在中度到高度相关(r=0.55-0.76,p<0.05)。在所有三项任务中,2D 运动学都具有良好到极好的测试-重测可靠性(ICC=0.70-0.90)。

结论

在三种功能性任务中,只有 2D 髋关节角度是有效的矢状面角度。躯干、髋关节和膝关节的 2D 矢状面运动学的可靠性在良好到极好之间。

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